Active NPI
Raya Galibov, PA
- Physician Assistant
- New York, NY
National Provider Identifier
1912008855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007577
- Practice address
- 115 Central Park W
Ofc 14
New York, NY 10023-4198 - Phone
- (212) 877-2100
- Fax
- (212) 873-9311
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007577 | NY | Primary |
Addresses
Primary practice location
115 Central Park W
Ofc 14
New York, NY 10023-4198
Mailing address
115 Central Park W
Ofc 14
New York, NY 10023-4198
Phone (212) 877-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007577 | NY | MD | Mental Health Counselor |
Interoperability endpoints
- raya.galibov@cpe1.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1730205600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1912008855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CENTRAL PARK W",
"address_2": "OFC 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234198",
"telephone_number": "212-877-2100",
"fax_number": "212-873-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CENTRAL PARK W",
"address_2": "OFC 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234198",
"telephone_number": "212-877-2100",
"fax_number": "212-873-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALIBOV",
"first_name": "RAYA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.